Airport Master Record (Newly Established Public Use Airports) {FAA 5010-3}

U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION FAA Form 5010-3, Airport Master Record Paperwork Reduction Act Statement The information collected on this form is necessary because it is the description of the physical and operational characteristics of the airport that will be on file with the FAA. The information will be maintained in FAA computers for record keeping purposes and used in airspace studies. Some of the information on this form is critical to aviation safety and will be published in flight information handbooks and charts for pilot use. The data is public in nature and is the agency's source for the information used in aeronautical charts and flight information publications. It is used by various entities of the civil and military aeronautical communities. Other users of the data include private industry, State agencies, and other government agencies. A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0015. Public reporting for this collection of information is estimated to be approximately 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required to obtain or retain a benefit by 49 USC 329(b). Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ASP-110. American LegalNet, Inc. www.FormsWorkFlow.com U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION >1 ASSOC CITY: >2 AIRPORT NAME: 3 CBD TO AIRPORT (NM): GENERAL 10 OWNERSHIP: >11 OWNER: >12 ADDRESS: >13 PHONE NR: >14 MANAGER: >15 ADDRESS: >16 PHONE NR: 17 ATTENDANCE SCHEDULE: MONTHS DAYS 18 AIRPORT USE: 19 ARPT LAT: 20 ARPT LONG: 21 ARPT ELEV: 22 ACREAGE: >23 RIGHT TRAFFIC: 24 NON-COMM LANDING: 25 NPIAS/FEDERAL AGREEMENTS: 26 PART 139 INDEX: RUNWAY DATA >30 RUNWAY IDENT: >31 LENGTH: >32 WIDTH: 33 SURF TYPE-COND: 34 SURF TREATMENT: 35 GROSS WT: S 36 (IN THSDS) D 37 2D 38 2D/2D2 39 PCN: LIGHTING/APCH AIDS >40 EDGE INTENSITY: >42 RWY MARK TYPE-COND: >43 VGSI: 44 THR CROSSING HGT: 45 VISUAL GLIDE ANGLE: >46 CNTRLN-TDZ: >47 RVR-RVV: >48 REIL: >49 APCH LIGHTS: OBSTRUCTION DATA 50 PART 77 CATEGORY: >51 DISPLACED THLD >52 CTLG OBSTN: >53 OBSTN MARKED/LGTD: >54 HGT ABOVE RWY END: >55 DIST FROM RWY END: 56 CNTRLN OFFSET: 57 OBSTN CLNC SLOPE: 58 CLOSE-IN OBSTN: DECLARED DISTANCES >60 TAKE OFF RUN AVBL (TORA) >61 TAKE OFF DIST AVBL (TODA) >62 ACLT STOP DIST AVBL (ASDA) >63 LNDG DIST AVBL (LDA) / / / / / / / / / / / / / 4 STATE: 6 REGION/ADO: AIRPORT MASTER RECORD LOC ID: 5 COUNTY: 7 SECT AERO CHT: SERVICES >70 FUEL: >71 AIRFRAME RPRS: >72 PWR PLANT RPRS: >73 BOTTLE OXYGEN: >74 BULK OXYGEN: 75 TSNT STORAGE: 76 OTHER SERVICES: OMB CONTROL NUMBER: 2120-0015 EXPIRATION DATE: 8/31/2019 FAA SITE NR: BASED AIRCRAFT 90 SINGLE ENG: 91 MULTI ENG: 92 JET: TOTAL 93 HELICOPTERS: 94 GLIDERS: 95 MILITARY: 96 ULTRA-LIGHTS: HOURS FACILITIES >80 ARPT BCN: >81 ARPT LGT SKED: >82 UNICOM: >83 WIND INDICATOR: 84 SEGMENTED CIRCLE: 85 CONTROL TWR: 86 FSS: 87 FSS ON ARPT: 88 FSS PHONE NR: 89 TOLL FREE NR: OPERATIONS 100 AIR CARRIER: 101 INTENTIONALLY LEFT BLANK: 102 AIR TAXI: 103 G A LOCAL: 104 G A ITNRNT: 105 MILITARY: TOTAL OPERATIONS FOR 12 MONTHS ENDING / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / (>) ARPT MGR PLEASE ADVISE FSS IN ITEM 86 WHEN CHANGES OCCUR TO ITEMS PRECEDED BY> >110 REMARKS: 111 INSPECTOR ( ) FAA Form 5010-3 (4/14) SUPERSEDES PREVIOUS EDITION 112 LAST INSP: 113 LAST INFO REQ: American LegalNet, Inc. www.FormsWorkFlow.com